Roger D Brockbank (NPI# 1669463626, PAC ID# 8224184759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1669463626 |
| PAC ID by PECOS | 8224184759 |
| Professional Enrollment ID | I20090924000089 |
| Full Name | Roger D Brockbank |
| Organization Legal Name | PREMIER FAMILY MEDICAL |
| Address |
275 W 200 Lindon UT 84042-5009 |
| Phone Number | 8017961333 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416197785 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460023 | AMERICAN FORK HOSPITAL |
| 460001 | UTAH VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 275 W 200, Lindon, UT 84042-5009 | 8017961333 | PREMIER FAMILY MEDICAL |
| Organization Legal Name | PREMIER FAMILY MEDICAL |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian L Simmons | Nurse Practitioner | Premier Family Medical | 3943 Pony Express Pkwy, Eagle Mountain, UT 84005-9999 |
| Chad M Duford | Physician Assistant | Premier Family Medical | 155 N 400, Suite B6, Orem, UT 84057-1909 |
| Jill Bergeson Barkdull | Family Medicine | Premier Family Medical | 830 N 2000, Pleasant Grove, UT 84062-4047 |
| Michael L Cosgrave | Family Medicine | Premier Family Medical | 226 N 1100 E A, American Fork, UT 84003-2054 |
| Sondra D Heaston | Nurse Practitioner | Premier Family Medical | 275 W 200, Lindon, UT 84042-5009 |
| Tauaina J Ngatuvai | Family Medicine | Premier Family Medical | 680 E Main St, Lehi, UT 84043-2241 |
| Douglas R Mower | Family Medicine | Premier Family Medical | 226 N 1100 E A, American Fork, UT 84003-2054 |
| Kenneth Joe Murdock | Family Medicine | Premier Family Medical | 226 N 1100 E A, American Fork, UT 84003-2054 |
| Toran J Macarthur | Family Medicine | Premier Family Medical | 226 N 1100 E A, American Fork, UT 84003-2054 |
| Amy L Hawkins | Nurse Practitioner | Premier Family Medical | 680 E Main St, Lehi, UT 84043-2241 |
| Street Address |
275 W 200 |
| City | LINDON |
| State | UT |
| Zip | 84042-5009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sondra D Heaston | Nurse Practitioner | Premier Family Medical | 275 W 200, Lindon, UT 84042-5009 |
| Lorraine Galvez | Registered Dietitian Or Nutrition Professional | Premier Family Medical | 275 W 200, Lindon, UT 84042-5009 |
| Scott L Smith | Family Medicine | Premier Family Medical | 275 W 200, Lindon, UT 84042-5009 |
| Michael S Curtis | Family Medicine | Premier Family Medical | 275 W 200, Lindon, UT 84042-5009 |
| Stacy K Robison | Nurse Practitioner | Life Spring Pain Management, LLC | 275 W 200, Suite 7, Kaysville, UT 84037-1873 |
| Spencer F Schuenman | Orthopedic Surgery | Premier Family Medical | 275 W 200, Lindon, UT 84042-5009 |
| Cindie G Dodenbier | Nurse Practitioner | Life Spring Pain Management, LLC | 275 W 200, Suite 7, Kaysville, UT 84037-1873 |
| Danna M Schow | Nurse Practitioner | Life Spring Pain Management, LLC | 275 W 200, Suite 7, Kaysville, UT 84037-1873 |
| Christian C Obah | Anesthesiology | Life Spring Pain Management, LLC | 275 W 200, Suite 7, Kaysville, UT 84037-1873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimball M Crofts | Plastic and Reconstructive Surgery | 385 W 600, Lindon, UT 84042-1330 | |
| Robert Charles Miller | Chiropractic | 360 N State St G, Lindon, UT 84042-1834 |
| City | LINDON |
| Zip Code | 84042 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LINDON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Roger D Brockbank.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.